REPUSLIKANGPILIPINAS. KAGAWARAN NG EDUKASYON REHIYON XI SANGAY NG LUNGSOD NG DABAW LuNGsooncDaBAW TIN: 000-863-958 ee TEL, Nos. 224-3274/224-0100/224-327 41227-4726 eras oot Of Gy, r "ey noe ~~ DIVIS) /EMORANDUM, ceaeaNe: Say 5. 2015 10 + Public School District Supervisors Elementary and Secondary School Heads Division Office Personnel Department of Health policies and guidelines governing health measures on how to prevent, protect, control and mitigate the transmission or spread of the Middle East Respiratory Syndrome Corona Virus (MERS-CoV). 07 205 DATE Enclosed are the following: 1, Bureau of Quarantine Memorandum Circular No. 2015-1 2. Major Updates and Reminders on MERS-CoV as of June 4, 2015 (Epidemiology Bureau, DOH) For information and guidance. HELEN D. PAGUICAN, CESO Schools Division Superintendent ir t8/hecDeparmeneteatialecadgnesynerangheltowansaniewcy nop :onrlarhigtcnsmissonersradithe Muench Roy10 ~ on¢0 DEPED - DAVAO CITY Oni RECORDS SECT City Health Office c ee City Epidemiology Surveillance Unit JUL 01205 | Davao City wt o : Magallanes St,, Davao City et (082) 227-4789, July 1, 2015 HELEN D. PAGUICAN, CESO V Schools Division Superintendent Department of Education Dear Ma'am: Greetings! Attached herewith a copy of the Department of Health policies and guidelines governing health ‘measures on how to prevent, protect, control and mitigate the transmission or spread of the Middle East Respiratory Syndrome Corona Virus (MERS-CoV). Kindly disseminate the copy of the guidelines to all schools both government and private sectors in Davao City. For strict compliance. Thank you and God bless us all. Sincerely yours, Tt Set ono naa, wo Unit Head ity Epidemiology Surveiance Unit City Heatth Office- Davao City Approved by: : Meeehet Cittaruetre, mis wee E c City Health Officer Davao City Health OfficeMAJOR UPDATES AND REMINDERS ON MERS-CoV as of June 4, 2015 (Epidemiology Bureau, DOH) There is an ongoing outbreak of the Middle East Respiratory Syndrome Coronavirus (MERS-COV) in South Korea right now. Below are the major updates: Korean Centers for Disease Control and Prevention confirmed 35 total cases, of which 5 new cases were contracted in the hospital. Three people have died. 1,369 people are currently in quarantine ‘This is the largest MERS outbreak outside the Middle East Mote than 900 schools are now closed to prevent the spread ‘The first case who brought the disease to Korea was reported on May 20. He traveled through Saudi, Qatar, the UEA and Bahrain. He sought treatment from two clinics and two hospitals and MERS was not suspected by the health workers, so the patient was not treated in isolation The South Korean President acknowledged “some insufficiency in the initial response” of the health system especially in underestimating the “contagiousness” of the disease The spread was mostly in the hospital where the index case consulted: especially the People who occupied the same room as the first patient and those who visited the same ward (even if the visit was as short as 5 minutes ) ‘One infected man traveled to China despite warnings from doctors. Please place your Region under high alert for MERS-COV. Please remind all stakeholdersof the following: ‘The signs and symptoms of MERS-COV include fever, cough, shortness of breath and breathing difficulties. Severe cases rapidly develop pneumonia. Virus transmission occursBEFORE adequate infection and control procedures are appliedso please advice all health workers, especially those in private and hospitals, to be highlysuspicious and to wear appropriate personal protection when seeing infectious patients, Please remind them to follow strict triage procedures of febrile patients Please alert all surveillance officers to be ready to investigate any MERS-COV suspected cases according to DOH Memorandum 2013-0205 Technical Guidelines and Standards ‘on the MERS-COV ‘We have a high Korean population in the country. Please saturate them with adequate hhealth information including who to call and where to consult in case they develop MERS-CQV-like symptoms Please ensure that your surveillance teams and hospitals in your area have adequate supplies of the appropriate personal protective equipment and that their procedures for infection prevention and control are reviewed and strictly complied with Please contact the Epidemiology Bureau if and when you find a suspected MERS-COV case AND refer all suspected cases to RITM for admission, isolationand appropriate laboratory confirmationstand A ort Area, 03 June 2055 4 MEMORANDUM CIRCULAR NO. 2015 - eee ro: ALL QUARANTINE _ PERSONNEL AIRPORT AN’ AUTHORITIES: GOVERNMENT "AGENCIES AT POUNTS O1 AIRLINES, SHIPPING, PORT USPRS "AND OTHER CONCERN POLICIES AND GUIDELINES GOV’ ERNING IIEALTH MEASURES FOR “ARRIVING PASSENGERS AND CREW FROM INTERNATIONAL TRAVELS DUE TO MERS-CoV OUTBREAK IN ARABIAN PENTNS| AND SOUTH KOREA RATIONALE ‘set No, 9271 and in pursuit to prevent, protect, mi Ag mandated by Republic the introduction, transmission or spread of public health enereS00 of internat’ the Department of Healt! concem in the Country at our airports’seaports of entry, @ through the Bureau of Quarantine, ix tasked to promulgate and enforce rules and Fons on health screening measure on arriving passengers and crew. AND SCOPE ‘As mandated by Section $3.1. Part XI of Administray a So atheraise known as the fmplementing Rules and Regulations of R AS: Circular defines the policies jibes the guidelines for effective and etficient t passengers and crew to prevent, proieet, cor the Middle East Respiratory Syndromeie POLICY sta: ;MENT - GENERAL POLICY GUIDELINES ‘The Bureau hereby adopts efficient effective, reliable health Screening measure dus to the MERS-CoV outbreak without necessarily impeding restriction to Wade, Travel, and passengers! crew comfort and safety, . OPERATIONAL POLICY GUIDELINES INTERNATIONAL TRAVEL ®) All quarantine personnel assigned at intemational airports! seaports are hereby ordered to heighten surveillance on travelers arriving with flucNce S2mptoms. All port authorities, yovernment agencies, airlines, shipping fines are enjoined to report any case/s of FLU LIKE SYMPTOMS. ©) AU! quarantine personnel assigned at intemational airporis/ seaports ate spekted to conduct health promotion and education activites with epard to MERS-CoV through posters, flyers, tarpaulins, public health announce nese (PHA) and other LE.C, material, All port authorities, government agencies, alrlines, shipping lines are strongly encouraged t0 provide assistance 7 Promoting this activity, ©) All arriving passengers/ crew must submit @ completed Health Declaration Ghscklist to the Bureau of Quarantine stationed at the arrival wee or Anternational A npotts. ® All amiving passengers/ crew must be given a Health Alert Notices (HAN). Tre 0 be kept by the passenger! crew for atleast 14 days (2 weele) ig Suler for them to contact proper health authorities if they need ele ce sepnanee 2 MERS-CoV. All port authorities, government agencion aisles, shipping lines are advised to devise a mechanism of explaining to all aiving passengers! crew on the importance of the HAN. ©) All arriving passengers’ crew ftom MERS-CoV affected countries must andeteo at home fever monitcring check thr the use of thermal scancere forehead thermometers for the next 14 days (2 weeks), 9 All'ses erat or vessels ariving at seaports of entry are to be boarded first by & Quarantine Medical Officer. Only after a free pratique is issued will the, (ronal be allowed to embark or disembark, Direct berthing prvilenss (Contiolled Pratique) issuance shall be on a case to case bavie > suspended ‘warranted, depending on the pandemic alert phase of the MERS-Coy ®) Aircraft Commanders) Master of Vessel are ordered to Feport in advance fse's of Flu-like symptoms, other health emergencies and deaths on board. Health documents (ie. General Declaration, Maritime Declaration, Manifest.WV. etc.) are to be accomplished and submitted upon to the Duty Quarantine Medical Officer. h) All port authorities, government agencies, airlines, shipping lines, port users are enjoined in implementing previously designed and agreed upon quarantine bealth protocols in handling suspected case/s of MERS-CoV or other infectious diseases. REPEALING CLAUSE: All orders, memoranda and or other Bureau of Quarantine issuances in contfficr are hereby rescinded, revised or modified accordingly EEFECTIVITY: Tais Memorandum Circular shall take effect immediately, For strict compliance. FERDINAND S. SALCEDO. MD. MPH, CESO IV OIC- Director IV My FERCHITO L. AVELINO, HD DIRECTOR 111